Provider Demographics
NPI:1225182694
Name:BARBAGALLO, JOHN SALVATORE JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SALVATORE
Last Name:BARBAGALLO
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3449 ULER RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:WV
Mailing Address - Zip Code:25266-9402
Mailing Address - Country:US
Mailing Address - Phone:304-565-4055
Mailing Address - Fax:
Practice Address - Street 1:42-46 STREET ROAD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-8412
Practice Address - Country:US
Practice Address - Phone:610-399-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004959L111NN1001X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU34573Medicare UPIN
PA067192Medicare ID - Type Unspecified